HomeMy WebLinkAbout0056 GRANITE LANE - Wood Stove Permit 10/09/80 ii TOWN OF BARNSTABLE
i BARISTAU
039. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION .....//9...~.... FIRE DEPT. ISSUING PERMIT .... � ...........................
NAME (owner) `fly = -L' NAME (Installer) ...1 �`t'" `�
ADDRESS �� � � ' �
y................................................................................................................. ADDRESS ...........................................................................................................................
STOVE TYPE ..................... �.fl!�.:�''.~.................................................... CHIMNEY NEW � EXISTING........................ ........................
�lG/ �7' viFi e+tt�•t (' sT�r�
Manufacturer ..................................................................................................................... CHIMNEY: Masonry .......................................................................................
Mass. Approval ............................................................................................................ CHIMNEY: Metal .............................�..�................................................................
This is to certify that the above installer has permission to install a wood burning appliance at the listed address
in accordance with an application on file with the �el- /_. ^................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
d`-'
Issued By: ..... "f .Title � �.:................. ... Date ............................ ...
. ................/ 1..................... ................................. : ............. ............
Permit to install expires 60 days after issue date,
Stove ..........................:..... ..... .c....... ..!....:................'.............!.:... ................................................................
StoveClearance ...................................f..........................................................................................................................................................................................................................................
Floor ..............................................................................................................................................................................................................................................................................................................
Smoke Pipe �'...................................
........................................................................................................................................................................................:...................................................................
SmokePipe Clearance .................:....::.....................................................................................................................................................................................................................................
Chimney ...................................................................................................................................................................................................... .................................
SmokeDetector , -.........`............................................................................................................................................................................................................I.......................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ........�.....................r................................... has been made in accordance with provisions.of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ......................s..................................................
-------- Installer
INSTALLATION APPROVED ............... ........:. ' Title: ....................:.................................
date t- .................................f `
f
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT